Healthcare Provider Details

I. General information

NPI: 1932180882
Provider Name (Legal Business Name): CURTIS JOHN BARNETT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17700 SE 272ND ST
COVINGTON WA
98042-4951
US

IV. Provider business mailing address

41 SPERRY WAY
KALISPELL MT
59901-6873
US

V. Phone/Fax

Practice location:
  • Phone: 253-631-6398
  • Fax: 253-631-2281
Mailing address:
  • Phone: 206-713-2332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDE00007103
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: